I-Meningitis efunyaniswayo ngokuqinisekisa ukuvuvukala okanye ngokuchonga isifo kwi-cerebrospinal fluid (i-fluid ejikeleze ingqondo). Oku kungenxa yokuba i-meningitis iyintsholongwane okanye ukuvuvukala kwamadoda, okuyizinto ezikhuselekileyo ezikhuselekileyo, ezikhuselekileyo, kunye nokukhupha ingqondo.
Ukuxilongwa kwenzelwa ukusetyenziswa kwe-lumbar puncture, engumonakalo kodwa ekhuselekileyo, ukuvavanya uvavanyo olubandakanya ukususa umkhuhlane wamanzi ngokusebenzisa inaliti ibekwe kumqolo osezantsi.
I-Self-Checks / Ukuvavanywa Kwekhaya
Intloko ehamba neentamo ezilukhuni ziimpawu eziphawulekayo ze-meningitis, kwaye kukho nezinye iimpawu ezibalulekileyo onokuzijonga ukuba ucinga ukuba wena okanye umntwana wakho unokuba ne-meningitis, kuquka intloko, intamo enzima okanye intlungu, intlungu, intlungu , ukugqithisa naphi na indawo emzimbeni, kunye neempawu ezifana nezifo.
IiLabs kunye novavanyo
Iimvavanyo eziliqela zinokuqinisekisa ukuxilongwa kwe-meningitis. Xa i-meningitis ibangelwa yintsholongwane, iimvavanyo ziyakwazi ukuchonga i-virus okanye ibhaktheriya ethile eyenzayo.
Funduscopic Exam
Ugqirha wakho angakhangela ngaphakathi kwamehlo akho usebenzisa i-ophthalmoscope, ephakamisa umbono welihlo lakho ngaphandle kokuyichukumisa ngqo. Uvavanyo olungenangxamnye lugqirha ugqirha wakho ukuba abone ukuba unokuvuvukala okanye ukuphazamiseka emva kwelihlo lakho, zombini ezo zingabonisa ukugqithiswa kwe-meningitis efuna ukunakekelwa kwonyango oluphuthumayo.
Uviwo lweNtloko
Ukuba une-meningitis eye yabangela inani elikhulu lokuvuvukala okanye kwienxa zonke kwengqondo, ugqirha wakho unokubona iimpawu zokuvuba ngokujonga ngaphakathi kwendlebe yakho.
Uvavanyo lweGazi
Iimvavanyo zegazi zingabonisa iimpawu zentsholongwane ezifana neeseli zegazi ezimhlophe. Ukuba i-meningitis yakho iyanzima ne-sepsis (ukusuleleka kwegazi), iimvavanyo zakho zegazi zingabonisa ibhaktheriya ngokunjalo. I-meningitis evuthambileyo ayibandakanyi igazi kwaye ayinxulumene ne-sepsis.
I-Lumbar Puncture (LP)
Uvavanyo olubandakanya ukususwa kwe- cerebrospinal fluid (CSF) ukusuka emzimbeni wakho, i- LP yinto yokuvavanya. Olu luvavanyo olukhuselekileyo, kwaye ugqirha onamava nawo wenza inkqubo. I-CSF yintsholongwane ejikeleze ingqondo yakho kunye nentambo yomgudu kwaye inika ulwazi oluninzi lokuxilonga. Kuza kuxela ukuba unayo i-meningitis kunye naluphi uhlobo. I-CSF ingahlaziywa ngamaprotheni, amaseli egazi ezimhlophe, igazi, kunye nezifo ezithathelwanayo.
Ukuba unayo i-LP, uya kulala ngecala lakho kunye nemilenze yakho evulekele emzimbeni wakho kwisithuba somntwana okanye uya kuhlala kunye nomzimba wakho ophezulu ugobe ngaphezu kancinci. Ugqirha wakho uza kubangela indawo yesikhumba kwindawo yakho engaphantsi kwaye uza kufaka isaliti esingenalutho ukuvumela ukuba umlambo uphumelele kuwo. Ugqirha wakho unokulinganisa uxinzelelo olumanzi xa i-CSF yakho iqalisa ukuhamba.
Umphumo oqhelekileyo ochaphazelekayo we-LP yintloko yesifo, edlalwa ngamahora ambalwa. Unokuyinqumla ngokusela amanzi kwaye ulala phantsi kwindawo ephathekayo kwiiyure ezimbalwa.
I-Electrephalogram (i-EEG)
I-EEG ngumvavanyo wombane onokufumanisa umsebenzi wombane wengqondo. Ngokuqhelekileyo kusetyenziselwa ukuhlola ukutshatyalaliswa kunye nokutshintsha kwimiba.
Nangona akuqhelekanga ukuba i-meningitis ibangele umsebenzi owenziwe ngombane engqondweni, ungadinga i-EEG ukuba unomsebenzi wokuthintela okanye utshintsho ekuzileni, okuyiimpawu ze-meningitis ezinamandla eziye zafika kwi-encephalitis (intsholongwane yengqondo).
Ukucinga
Izifundo zokucinga zingaba luncedo ngokukhethekileyo ekuhlolweni kwe-meningitis. Iimpawu ze-meningitis zingaba nzima ukuhlula kwiimpawu zenye iimeko ezixhaphakileyo zeengxaki zegazi, ngoko ukucinga ngokukhawuleza kunokukhawuleza ukuhlukanisa imeko yeengxaki.
I-Brain CT okanye i-MRI
Ukucinga ngeBrain nge-injection engafaniyo kunokubona ukuvuvukala kwe-meningitis. Ngoxa ukuvuvukala kwama-mening akusoloko kubonakala kwizifundo zokucinga ngengqondo, ezi zifundo ziyakwazi ukubona ezinye iimeko zesifo seengqondo ezifana neengqondo, ukushaywa, ukuphuma kumbilini kunye nama-absesses, kunye ne-encephalitis engabonisa iimpawu ezifanayo kunye ne-meningitis.
MRI
Njengoko i-MRI yengqondo okanye ubuchopho be-CT, i-MRI yomgudu ingakwazi ukubona ukuvuvukala kwengqondo. Iyakwazi ukubona ezinye iingxaki ezifana nezicubu, ukuphuma kwamanzi. okanye ikhefu. Nangona ubuchopho beC CT bu luncedo, umgudu we-CT awukho uvavanyo olucetyiswayo lokucinga ngomlenze.
X-Ray
I-X-ray isifuba sinokufumanisa intsholongwane kwisifuba okanye emaphaphu, okungaba ngumqondiso ukuba ibhaktheriya okanye intsholongwane echaphazelayo ichaphazela ezinye iindawo zomzimba.
Ukuxilongwa ngokungafani
Ngenxa yokuba i-meningitis ingabangela intlungu kunye neentsholongwane, iyakwazi ukugqithisa kwiimpawu kunye nezinye izifo kunye nezimo ze-neurological, ngokukodwa ekuqaleni.
I-Flu okanye iTransal Infection
I-Meningitis ibangela iimpawu ezifana nezo zintsholongwane zentsholongwane. Umehluko omkhulu kukuba iimpawu ze-meningitis zihlala zibandakanya intloko, intamo kunye namehlo, ngelixa ezinye izifo zihlala ziquka umqala kunye nezono kwaye kubangele isicathulo, ukuhlanza kunye nehudo. Ngokuqhelekileyo, nangona kunjalo, i-meningitis ihambelana nomkhuhlane.
Intloko ye-Migraine
Intloko ze-Migraine zibangela ubuhlungu obunzima entloko nasentanyeni, isisonguluko, kunye nobunzima obunzima, kwaye kunokuvelisa iimpawu ze-neurological.
Ukuba awuzange ube ne-headprraine ikhanda ngaphambili, akufanele uphinde ucinge ukuba intlungu yakho okanye intamo yakho intlungu i-migraine. Ukuba uye waba nemisipha yamakhanda, kufuneka ufune unyango ukuba intlungu yakho iyahlukileyo kunokuqhelekileyo okanye ihamba kunye nomkhuhlane.
Usulelo lweNkqubo
Usuleleko olunzulu oluchaphazela umzimba ngokubanzi luvelise iimpawu ezinjengezo ze-meningitis, kuquka iintloko kunye neentsholongwane. Umehluko omkhulu kukuba ukusuleleka kwe-system akuqhelekanga kubangele ubuhlungu obuguqula umzimba wakho, indlela eyenziwa ngayo i-meningitis.
Encephalitis
Incephalitis ukuvuvukala okanye ukusuleleka kwengqondo ngokwayo. Kucingisisa ngakumbi kwaye kusongela ubomi kunokuba i-meningitis kwaye idinga ukunakekelwa kwinqanaba eliphezulu ukukhusela umonakalo ongenasiphelo.
Umehluko omkhulu phakathi kwezi zimbini iimeko ezinzima. Ukuba unayo impawu ye-meningitis, kufuneka ufune unyango ngokukhawuleza kwaye uvavanyo lwakho loviwo logqirha kunye novavanyo lokuxilonga lunokuhlukanisa phakathi kwezi zimbini. Akuqhelekanga, kodwa i-meningitis ingaqhubela phambili kwi-encephalitis, ingakumbi ukuba unako ukukhuselwa komzimba.
Umzila weMiscle
Umxube otyunyiweyo okanye owatyiweyo wamagxa aphezulu okanye umva ongasentla ungabangela intlungu ebuhlungu eyenziwa ngokunyakaza. Intlukwano enkulu phakathi kwesifo semisipha kunye ne-meningitis kukuba intlungu ye-muscle strain igxininise kwi-muscle ethile kwaye inokuthi ibe yimbi ngakumbi ekuhambiseni indawo esondele kufuphi neentlungu zentlungu, ngelixa ubuhlungu be-meningitis bunzima kakhulu ngokuhamba yentloko nentamo.
Absin Brain
Ukungabikho kwengqondo yindawo yokusuleleka kwingqondo. Ngokungafani ne-meningitis kunye ne-encephalitis izifo, kunokubangela ukuba kubekho iimpawu ze-neurological generational and is likely to cause fever. Ingqondo ye-CT okanye i-MRI ingabonakalisa ukungabikho kwengqondo, efuna unyango.
Uxinzelelo lwegazi
Ukuba unesixinzelelo esiphantsi segazi ngenxa yezizathu ezithile, njengokungcoliswa kwamanzi, ukulahleka kwegazi, okanye imeko yonyango, unokufumana isisu, isisu kunye nokukhathala. Njenga-meningitis, iimpawu zakho zinokudakalisa ngokutshintshwa kwezikhundla zomzimba.
Ukuba unengcinezelo yegazi ephantsi, awufanele ulindele ukuba ube nomkhuhlane okanye intamo eqinile, kwaye ugqirha wakho unokufumanisa uxinzelelo lwegazi oluphantsi nge-blood pressure check check.
Ukuxhamla
Ukutshutshiswa kubangelwa ukuba kutshintshe ukuphazamiseka kwaye kunokudibana nokunyaniseka, ukuxelenga, kunye nentloko. Xa izibilini zibangelwa yimfiva, imfiva ngokuqhelekileyo imfutshane ngokukhawuleza kwaye isombululo ngokwabo. Ngamanye amaxesha, i-meningitis, kunye ne-encephalitis ngokuqhelekileyo, inokubangela ukuthinteka.
Ukubetha okanye ukuhlamba kwiBrain, okanye i-Tumors
Ezi meko zivelisa izinto ezichazwa njengezilonda kwiingqondo, ezivelisa iimpawu ze-neurological. Ngokuqhelekileyo, imivimbo, ukuphuma kwegazi, kunye neengqondo ziveza iimpawu ezithile zeengqondo kunezinye iimpawu eziqhelekileyo, kodwa ngamanye amaxesha iimpawu zale miqathango zinokudlulela kunye ne-meningitis. Uvavanyo lwe-neurological and imaging brain can determine your diagnosis xa iimpawu zihamba.
> Imithombo:
> Aronson PL, uMcCulloh RJ, uMphathiswa JS, et al. Ukusetyenziswa kweMigqaliselo yeRochester ukuchonga iintsana ezisuka kwi-Bacteremia kunye ne-Meningitis. Uncedo lwe-Pediatr Emerg Care. Ngo-2018 Feb 5. i-doi: 10.1097 / iPEC.0000000000001421. [Epub ngaphambi kokuprinta]
> de la Motte MB, Abbas R, et al. Izifo ezivuthayo ezivuthayo kwizigulane ezivunyelwe kwi-aseptic meningitis. Clin Med (Lond). Ngo-2018 Mar; 18 (2): 132-137. i-doi: 10.7861 / i-clinmedicine.18-2-132.